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JIMMY WAYNE SPELTS PMHNP-BC
NPI 1104423946
Nurse Practitioner - Psychiatric/Mental Health in Chesapeake, VA

Active since October 05, 2020PECOS Enrolled
732 EDEN WAY N STE E507, CHESAPEAKE, VA 23320(757) 412-7840 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 13, 2021, Oct 5, 2020 (2 updates tracked since 2020).

About Jimmy Wayne Spelts Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIMMY WAYNE SPELTS PMHNP-BC (NPI 1104423946) is an individual psychiatric/mental health provider in Chesapeake, Virginia, licensed in Virginia (0024182894) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104423946
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJIMMY WAYNE SPELTSCredential: PMHNP-BC
Location Address732 EDEN WAY N STE E507Chesapeake, VA 23320-2798
Mailing Address732 Eden Way N Ste 507Chesapeake, VA 23320-2798 · (757) 609-2726 · Fax (757) 609-2874
Phone(757) 412-7840
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 5, 2020
Last NPPES UpdateOctober 13, 20212 updates tracked since enumeration
NPPES CertifiedOctober 13, 2021
✔ NPI 1104423946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024182894
732 EDEN WAY N STE E507, Chesapeake, VA 23320
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jimmy Wayne Spelts Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133510092
PECOS Enrollment IDI20220103002007
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jimmy Spelts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Empowerment Counseling Center LLC
0.6 mi
Clinical
1015 EDEN WAY N STE B
Chesapeake, VA 23320
  • Reassigned Medicare billing, Virginia enrollment
  • 7 clinicians in this Medicare group
NPI 1538503750 (757) 609-2726
Childrens Specialty Group PLLC
7.1 mi
Pediatrics
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 549 clinicians in this Medicare group
NPI 1255354130 (757) 668-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jimmy Spelts's NPI number?

The NPI number for Jimmy Spelts is 1104423946. It was assigned to this individual provider in the NPPES registry on October 5, 2020.

Where is Jimmy Spelts located?

Jimmy Spelts practices at 732 Eden Way N Ste E507, Chesapeake, VA 23320. The listed phone number is (757) 412-7840.

What is Jimmy Spelts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jimmy Spelts enrolled in Medicare?

Yes. Jimmy Spelts is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jimmy Spelts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jimmy Spelts reassigns Medicare benefits to 2 organizations: Empowerment Counseling Center LLC (Chesapeake, VA) and Childrens Specialty Group PLLC (Norfolk, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jimmy Spelts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jimmy Spelts accept?

Health plans from Oscar Health list Jimmy Spelts as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jimmy Spelts was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.